Active NPI
Broken Arrow Endodontics
- Endodontics
- Broken Arrow, OK
National Provider Identifier
1124219274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 47
- Legal business name
- BROKEN ARROW ENDODONTICS
- Doing business as
- Broken Arrow Endodontics
- Practice address
- 4420 W Houston St
Broken Arrow, OK 74012-4645 - Phone
- (918) 615-3600
- Fax
- (918) 615-3601
- NPI assigned
- Aug 5, 2007
- Last updated
- Oct 27, 2020
- Organization subpart
- Yes
- Parent organization
- BROKEN ARROW ENDODONTICS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eve G Strand
- Title
- Office Manager
- Phone
- (918) 615-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 47 | OK | Primary |
Addresses
Primary practice location
4420 W Houston St
Broken Arrow, OK 74012-4645
Mailing address
4420 W Houston St
Broken Arrow, OK 74012-4645
Phone (918) 615-3600
Other names 1
- Broken Arrow Endodontics
National Provider Directory
National Provider Directory- Part of
- Broken Arrow Endodontics
Locations
4420 W Houston St
Broken Arrow, OK 74012
Phone (918) 615-3600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Endodontics
- Broken Arrow, OK
- NPI 1972703734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603756800000",
"number": "1124219274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4420 W HOUSTON ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740124645",
"telephone_number": "918-615-3600",
"fax_number": "918-615-3601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 W HOUSTON ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740124645",
"telephone_number": "918-615-3600",
"fax_number": "918-615-3601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROKEN ARROW ENDODONTICS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BROKEN ARROW ENDODONTICS",
"enumeration_date": "2007-08-05",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A",
"authorized_official_last_name": "STRAND",
"authorized_official_first_name": "EVE",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "918-615-3600"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "OK",
"license": "47",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Broken Arrow Endodontics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Broken Arrow, OK
- Merle Gene Brock, LMFT
- Broken Arrow Bone and Joint Specialists, PC
- Broken Arrow Counseling Services LLC
- Broken Arrow Dental and Implants, LLC
- Broken Arrow Diagnostic Medicine, PLLC
- Broken Arrow Family Clinic Inc
- Broken Arrow Family Dentistry PLLC
- Broken Arrow Family Practice Center
- Broken Arrow Family Practice Center PLC
- Broken Arrow Medical Center Inc (Saint Francis Hospital at Broken Arrow)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.